Archive for November2015

You should attend an EMS conference at least once in your career. My first exposure to an EMS conference was Connecticutâ€™s state conference. I had only been an EMT a few years â€“ my influences were limited to my excellent EMT instructor, and the great people I worked with at Eastern Ambulance, a small five […]

Many years ago here in Connecticut each of the hospitals in the state had their own set of treatment guidelines for the paramedics they sponsored. In our company some of our medics were sponsored by Hartford Hospital, others by Saint Francis Hospital.* Each hospital had a different set of guidelines, even though their medics worked […]

The main question left in the wake of the study,Trial of Continuous or Interrupted Chest Compressions during CPR, that dominated the news coming out of the American Heart Associationâ€™s 2015 Scientific Sessions Conference in Orlando, Florida this past week, is “How does passive ventilation compare with positive pressure ventilation in the early stages of cardiac […]

Several years ago studies out of Arizona and Wisconsin trumpeted continuous cardiac compressions, known as CCC or sometimes known as CCR (cardiocerebral resuscitation), as offering increased survival for out of hospital cardiac arrest. Neurologically intact survival from witnessed vfib arrests increased by 250-300%. For the first several cycles of CPR stop compressions only to shock, […]

I hardly ever go lights and sirens to the hospital. I feel so strongly about not going lights and sirens unless absolutely necessary, I wrote what became our statewide policy on lights and sirens. Although it was toned down through the various committees it went though, the gist of it remained the same. You should […]

Cat CampYou gave her 20 Milligrams?!!I never even knew EMS could give a "transporting patient" any pain meds at all. Guess you can tell Ive Never (Thank God) had to be transorted in a rescue before. That is until recently, Jan 8, 2018. I slipped and dislocated my shoulder!!! The Pain was unbearable!! I pray I never experience that pain…
2018-02-10 09:08:03

Barbara WrightAngry Snowman: Naloxone RefusalsBIG CITY MEDIC, amazing how you tear down the attempts of someone trying to save a life at the time or the future. I would have fought for the user to go to the hospital. Big City Medic would lead me to believe you are becoming big city hardened
2018-02-06 19:45:34

NateNaloxone in Cardiac Arrest"What drug do you give?" is a trick question. In cardiac arrest of any cause, the one proven benefit to survival is CPR. Good CPR is a rarity. Most is middling. Second, in VF/VT arrest, the only thing that changes is defibrillation, after good CPR. The rest of ACLS has a paucity of data. It's…
2018-02-05 04:35:24

JordanMother and SonDrug overdoses are normally the ones you get back. So always especially difficult when you don’t. Only a recently qualified Paramedic and haven’t had to deliver bad news as of yet. Dreading the day I do.
2018-01-25 13:45:09